胡树桥　陈福楠　黄文艳

【摘要】 目的：分析胸腔镜切除术治疗肺多发结节患者的临床疗效。方法：回顾性分析2015年

2月-2017年8月本院收治的80例肺多发结节患者的临床资料，根据治疗方式不同分为对照组（开胸手术）和研究组（胸腔镜切除术），各40例。比较两组疗效、并发症、住院时间、引流时间、术后引流量、术中使用钉仓数量、术中出血量等。结果：研究组治疗总有效率为92.50%，高于对照组的75.00%（P<0.05）；研究组并发症发生率10.00%，低于对照组的27.50%（P<0.05）；研究组住院时间、引流时间、术后引流量、术中出血量均低于对照组，术中使用钉仓数多于对照组，比较差异均有统计学意义（P<0.05）。结论：建议临床治疗肺多发结节采用胸腔镜切除术，与开胸手术比较，其效果更为突出，且创伤小，术后恢复速度快，属于一种有效且安全的诊治方式。

【关键词】 疗效； 肺多发结节； 胸腔镜切除术； 开胸手术

Clinical Effect of Thoracoscopic Resection in Treatment of Patients with Multiple Pulmonary Nodules/HU Shuqiao，CHEN Funan，HUANG Wenyan.//Medical Innovation of China，2018，15（27）：-112

【Abstract】 Objective：To analyze the effect of thoracoscopic resection in treatment of patients with multiple pulmonary nodules.Method：The clinical data of 80 patients with multiple pulmonary nodules admitted to our hospital from February 2015 to August 2017 were analyzed retrospectively.According to different treatment methods，they were divided into control group（thoracotomy） and study group（thoracoscopic excision），40 cases in each group.The curative effect，complications，hospitalization time，drainage time，postoperative drainage volume，the number of intraoperative use of nail bunkers，intraoperative bleeding volume between two groups were compared.Result：The total clinical effect in study group was 92.50%，which was higher than 75.00% in control group（P<0.05）.The total incidence of complications in study group was 10.00%，which was lower than 27.50% in control group（P<0.05）.The curative effect，complications，hospitalization time，drainage time，postoperative drainage volume，intraoperative bleeding volume in study group were lower than those of control group，the number of intraoperative use of nail bunkers was higher than that of control group，the differences were statistically significant（P<0.05）.Conclusion：It is recommended to treat multiple pulmonary nodules by thoracoscopic resection，compared with thoracotomy，the effect is more prominent，with less trauma and faster postoperative recovery，it is an effective and safe way of diagnosis and treatment.

【Key words】 Clinical effect； Multiple pulmonary nodules； Thoracoscopic resection； Open thoracotomy

First-authors address：Longyan First Hospital Affiliated to Fujian Medical University，Longyan 364000，China

doi：10.3969/j.issn.1674-4985.2018.27.029

随着近几年来医学界影像学技术逐步发展，特别是高分辨率CT的广泛应用，加之人们日益重视常规体检，肺部多发结节发病率也逐年递增。部分患者接受病理学检查后，确诊为肺癌[1-2]。肺部多发结节指多个直径<3 cm的结节性病变。此疾病在人体肺中呈局限性或弥漫性分布，在多种疾病中均可发生，如真菌感染、塵肺、结节病、肺结核、肺转移瘤、肺癌等[3]。因电视胸腔镜在临床各疾病治疗中得到广泛应用，肺多发性结节也不例外，在诊治疾病上得到广泛采纳和认可，手术疗效优于开胸手术。但仍有部分医学者对此抱有质疑，为此，本研究纳入80例患者分两组重点讨论胸腔镜切除术治疗效果。……